Darryl M Enabore, P.T., RN

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1072742 Issued in TX

Practice address

7503 Quail Springs Dr
Arlington, TX 76002-3469

Phone

(469) 688-3890

Fax

(817) 472-5084

NPI assigned

Jul 23, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1154551240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 QUAIL SPRINGS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023469",
            "telephone_number": "469-688-3890",
            "fax_number": "817-472-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 QUAIL SPRINGS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023469",
            "telephone_number": "469-688-3890",
            "fax_number": "817-472-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENABORE",
        "first_name": "DARRYL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.T., RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "738346",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1072742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.